Open Access Journal of Disease and Global Health(OAJDGH)
ISSN: 2993-6594 | DOI: 10.33140/OAJDGH
Preterm Delivery and Associated Factors Among Women Who Delivered Live Babies at Muhimbili National Hospital, Dares Salaam, Eastern Tanzania.
Abstract
Paul E. Ndeki, Ali Said, Amani I. Kikula, Furaha August, John Somi, Jafari B. Lutavi, Matilda Ngarina and Siriel. N. Massawe
Background: Preterm delivery is a major global health concern that continues to be a primary focus in obstetric and pediatric units in Sub-Saharan Africa. It is the leading cause of death in children under the age of five worldwide, with rates greater in sub-Saharan African nations, accounting for 16% of all fatalities and 35% of newborn infant deaths.
Objective: To investigate the magnitude of preterm delivery and its associated factors at Muhimbili National Hospital, a tertiary health facility in Tanzania.
Methodology: A hospital-based cross-sectional study was undertaken at Muhimbili National Hospital's maternity ward. 422 mothers were interviewed using a face-to--to-face structured questionnaire. The strength of association between the independent and dependent variables was determined using a logistic regression model.
Results: In this study, the proportion of mothers who had preterm delivery was 19.91%. Previous preterm delivery (aOR=5.4,95% CI 2.53-11.34),short Interpregnancy interval (aOR=3.0, 95% CI 3.08-9.03), ANC follow-up <4 contacts (aOR = 3.0, 95% CI 1.79-8.38), hypertensive disorders (aOR = 10.8, 95% CI 5.75, 18.33), antepartum hemorrhage (aOR = 14.5, 95% CI 4.92-24.27), preterm rupture of membrane (aOR =5.9,95% CI 1.94-14.12), multiple pregnancy (aOR =10.7,95% CI 10.21-92.69) and urinary tract infection (aOR =3.1, 95% CI 1.94-8.15) were independent factors associated with preterm delivery.
Conclusions: 19.9% of women had preterm delivery. History of previous preterm delivery, short Interpregnancy interval, ANC follow-up <4 contacts, multiple gestation, urinary tract infections, pregnancy, hypertensive disorders, antepartum hemorrhage and preterm rupture of membranes were independent factors associated with preterm delivery.